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Using the AQUA Registry for MIPS Reporting

The Merit-based Incentive Payment System (MIPS) is a path to participate in the CMS Quality Payment Program (QPP), which was created under the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015 to combine multiple value-based programs. The AQUA Registry is a “one-stop shop” to streamline the MIPS reporting process to CMS .

The graphic below shows how the AQUA Registry can help streamline your practice’s MIPS reporting needs. If you participate in Medicare Part B, you may earn a performance-based payment adjustment through MIPS.

Merit-Based Incentive Payment System
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AQUA Registry – A vehicle for MIPS Reporting by Dr. Ronald Suh

AUA Inside Tract PodcastDr. Ronald Suh

Explore how Dr. Ronald Suh, Urology of Indiana, uses the AUA Quality (AQUA) Registry to satisfy the MIPS reporting requirement.

Who is eligible?

Eligible providers must bill Medicare Part B more than $90,000 annually, provide care to more than 200 individual Part B beneficiaries AND provide more than 200 covered professional services under the Physician Fee Schedule. If all three requirements are met, than the clinician must report for the 2020 performance year. Clinicians can check their eligibility status using the CMS Lookup Tool. Additionally, for MIPS you must also be a:

  • Physician
  • Osteopathic practitioner
  • Chiropractor
  • Physician assistant
  • Nurse practitioner
  • Clinical nurse specialist
  • Certified registered nurse anesthetist
  • Physical therapist
  • Occupational therapist
  • Clinical psychologist
  • Qualified speech–language pathologist
  • Qualified audiologist
  • Registered dietician or nutrition professional

MIPS performance periods

Per the 2020 final rule, eligible providers are required to report on a full year’s worth of data for the Quality and Cost performance categories. Additionally, providers will be required to report on a continuous 90 day period for the Promoting Interoperability and Improvement Activities categories.

Penalty for Not Reporting

Eligible providers who do not report their data will receive a financial penalty under MIPS. The maximum negative adjustment under MIPS has increased from 7% to 9%, from the 2019 and 2020 performance years respectively. The table below shows the maximum negative adjustments based on the practice size:

Practice Size

Maximum Negative Adjustment under MIPS ^

(9%, 2020 performance year)









^Figures are based on 2015-2016 CMS payments to urologists.  

To learn more about the Merit-based Incentive Payment System, review AUA's MIPS Toolkit.